LESSON PLAN ON

POST NATAL EXERCISES

SUBMITTED TO:

Mrs. SOMIBALA

SUBMITTED BY:

VARSHA SHARMA

MSc NURSING FIRST YEAR

RUFAIDA COLLEGE OF NURSING

Time Specific Content Teaching Evaluati
objectives learning on
activity
2 min
INTRODUCTI
ON:-
INTRODUCTIO
N- These
should be
started as
soon after
birth as
possible in
order to
improve
circulation
.strengthen
pelvic floor
and
abdominal
muscles and
prevent
transient and
long term
problems.

5min After the DEFINATION:- Student What is

class the teacher will be postnatal
group will A series of physical exercise that are able to exercise?
able to performed by the postnatal mothers to discuss about
define what bring about optimal functioning of all the definition
are the post system and prevent complication. of post natal
natal exercise with
exercises. the help of
OHP.

2min Purposes:-

After the 1. To improve the tone of muscle Student What are

class the which are stretched during pregnancy teacher will be the
group will and labour specially the abdominal able to purposes
be able to and perineal muscles. discuss about of
discuss 2. To educate about correct posture the purposes postnatal
about and body mechanism. of postnatal exercises
purposes of 3. To minimize the risk of puerperial exercises with ?
 postnatal venous thrombosis by promoting the help of
exercises. circulation and preventing venous OHP.
stasis.
4. To prevent backache.
5. To prevent stress incontinence of
urine.

Time Specific Content Teaching Evalutio

Objective learning n
activity
2min After the I-ABDOMINAL EXERCISE- Student
class the 1. Instruct the women to assume a teacher will be How to
class the supine position with bent. able to perform
group will 2. Instruct her to inhale through the discuss about abdomin
be able to nose, keep the rib cage as stationary abdominal al
discuss as possible and allow the abdomen to exercises by exercise?
about expand and then contract the demonstrating
abdominal abdominal muscle as she exhales .
exercises. slowly through the mouth.
3. Instruct her to place one hand on
the chest and one hand on the
abdomen when inhaling. The hand on
the abdomen should rise and the hand
on the chest should remain
Stationary.
4. Repeat the exercise five times.
2min After the B-HEAD LIFT- Student How to
class the This exercise can be started within a teacher will be perform
group will few days after child birth. able to head lift
be discuss 1. Instruct the mother to lie supine discuss about exercises
about the with knees bent and arms anterior head lifting by ?
head lift stretched at her side. demonstrating
exercise. 2. Instruct her to inhale deeply at first .
and then exhale while lifting the head
slowly, to hold the position for a few
seconds and relax.

Time Specific Content Teaching Evaluati

objective learning on
activity
5min After the C-HEAD AND SHOULDER RAISING- Student How to
class On the second postpartum day teacher will be perform
Students instruct women to: able to head and
will be able 1. Lie flat without pillow and raise discuss about shoulder
to discuss head until the chain touches the chest. head and raising
about head 2.On 3rd post partum day instruct her shoulder exercise?
and to: rising by
shoulder Raise both head and shoulder off the demonstrating
raising bed and lower than slowly. .
exercise. Gradually increase the number of
repetitions until she is able to do this
for 20time.
5min After the D-LEG RAISING- Student How to
class the This exercise may begin on the 7th teacher will be perform
group will postpartum day. Instruct women to : able to the leg
be able to 1. Lie Down on the floor with no discuss about raising
discuss pillows under the head. Point toe and leg raising exercise?
about leg slowly raise one leg keeping the knee exercise by
raising straight. demonstrating
exercise. 2. Lower the leg slowly. .
3. Gradually increase to ten times
each leg.

Time Specific Content Teaching Evaluati

objective learning on
activity
5min After the E-PELVIC TILTING OR ROCKING- student how to
class the Instruct women to- teacher will be perform
group will 1. Lie flat on the floor with knees bent able to pelvic
be able to and feet flat, inhale and While ex discuss about tilting
 discuss hating flatten the back hard against pelvic tilting exercise?
about the the floor so that there is no space exercise by
pelvic between the back and the floor. demonstrating
tilting or 2. Inhale normally holds breath for up .
rocking to 10 seconds and then relaxes.
exercise. 3. Repeat up to 10 times.

5min After the F- KNEE AND LEG ROLLING - Student How to

class the Instruct women to- teacher will be perform
student 1. Lie flat on her back with knees bent able to knee and
teacher will and feet flat on the floor or bed. discuss about leg
be able to 2. Keep the shoulder and feet knee and leg rolling
discuss stationary and roll the knees to side to rolling exercise?
about knee touch first one side of the bed, then exercise by
and leg the other. demonstrating
rolling 3. Maintain a smooth motion as the .
exercise. exercise is repeated five times.
4. Later, as flexibility increases, the
exercise can be able varied by the
rolling of one knee only.
Time Specific content Teaching Evaluati
objective learning on
activity
5min After the G-HIP HITCHING- Student How to
class the Instruct mother to : teacher will be perform
group will 1. Lie on her back with one knee able to hip
be able to bent and the other knee discuss about hitching
discuss straight. hip hitching exercise?
about hip 2. Slide the heel of the straight leg exercise by
hitching 3. Downwards, thus lengthening demonstrating
exercise. the leg. .
4. Shorten the same leg by
drawing the hip up towards the
ribs on the same side and
repeat.

5min After the H-ABDOMINAL TIGHTEN- Student How to

class the Instruct women to :- teacher will be perform
group will 1. Sit comfortable on knee on all able to abdomin
be able to fewer. discuss about al
discuss 2. Breath in and extend them pull in abdominal tightenin
about the lower part of the abdomen below tightening g
abdominal the umbilicus while continuing to exercise by exercise?
tightening breath normally. demonstrating
exercise. 3. Hold for up to 10 seconds. .
4. Repeat up to 10times.

5min After the FOOT AND LEGS EXERCISE: Student How to

class the Instruct mother to: teacher will be perform
group will Sit or half if i.e. with legs able to foot and
 be able to supported. discuss about legs
discuss Bend arm stretched and ankles foot and leg exercise?
about at least 12 times. exercise by
circulatory Circle both feet at the ankle at demonstrating
exercises. least 12 times in each direction. .
Brace both knees hold for a
count of four then relax.
Repeat 12 times.

Time Specific Content Teaching evaluati

objective learning on
activity

5min After the PELVIC FLOOR EXERCISE; Student How to

class the (Kegel exercise) teacher will be perform
group will Instruct woman to: able to kegel
be able to Sit, stand or half lie with for discuss about exercise?
discuss front passages as if to stop the kegel exercise
about kegel flow of urine in mid stream. by performing
exercise. Hold the contraction for ten demonstration
seconds. .
This is repeated up to 10 times.
Continue to do this exercise for
2-3 months.
After three months if the mother
is able to cough deeply with a
full bladder without leaking
urine, she may stop the
exercise.
If leaking occurs, she may
continue the exercise for the
rest of her life.
Time Specific content Teaching Evaluati
objective learning on
objective
5 min After the CHEST EXERCISE: How to
class the Instruct mother to: Student perform
student will Lie flat with arm extended teacher will be chest
be able to straighten to the side ,bring able to exercise
discuss both hands together above the discuss about in
about chest chest while keeping the arms chest exercise postnatal
exercises. straight ,hold for a few seconds by performing period?
and return to the straight demonstration
position. .
Repeat exercise five initially and
follow the health care provided
for increasing the number of
repetitions.
Instruct the mother to bend her
elbows, clasp her hands
together above her chest and
press her hands together for a
few seconds repeat this at least
five times.
SUMMARY:-
These should be started as soon after birth as possible in order to improve
circulation .strengthen pelvic floor and abdominal muscles and prevent transient
and long term problems. A series of physical exercise that are performed by the
postnatal mothers to bring about optimal functioning of all system and prevent
complication.

CONCLUSION:-
To improve the muscle tone which are stretched during pregnancy labour
specially the abdominal and perineal muscles. To educate correct posture
to be attained when the patient is getting up from her bed. This also
includes the correct principles of lifting and working positions during day
to day activities.
BIBLIOGRAPHY :-

Margit copper. A, Myles textbook for midwives, 14th

edition, 244-246.
Jacob anamma, R.rekha, clinical nursing procedure
the first of nursing perctice, 2nd edition,601-603